Largest ED in the US

Total rooms: 101 rooms

Hall Stretchers: 28 stretchers

We typically operate at 100% of the room capacity 75-80% of the time.

We are "in the halls" (IE: on stretchers) approx 60% of that time.

Anual volume 150,000+

Someone asked abuot staffing...

CC: 4 RNS, 1 charge, 1 trauma float

IMC: 4 RN's, 1 RN charge

CEC: 3 RN's, 1 RN Charge

CPC: 2-3 RN's

FT: 1 RN

OBS: 1-2 RN's

BEhavioral 2 RN's

1 shift charge RN

3-5 Nurse Techs at any given time

4-5 Secretaries/Unit coordinators at any given time

There is a little flexibility in these numbers depening on volumes/trends and needs.

Its not so much the number of beds, because if you build them they will come. I worked in a ER in NC, at the time we had about 40-45. The actually number was debatable because of hall spots and chairs. At the time a new ED was in the early planning stages. Now they have a 90+ bed ER that is slam pack full all the time. Thats with the other hospital in town less than 2 miles away.

And actually legally a hospital has to cite licensed beds.

RJ

we have 64 beds total. i would rather work in a ED with alot of rooms instead of a community hospital with say 20 beds and not enough staff. i worked in hospital like that before and it was horrible because they saw about 170 pt's a day with only 7 nurses and 2 attendings. when a ED has enough rooms they will staff appropriately for the most part.

the ER in Dayton ohio has about 100 beds and sees close to 150,000 pts a year. VERY BUSY:bugeyes:

I work in WA state and we saw just over 105, 000 pts last year with 49 beds and 13 hallway beds. Crazy busy!!

We only have 20 beds, but we have 4 "hall beds" and 2 "waiting for a bed" areas. We are usually packed to the hilt, and it only continues to get worse...

I work in WA state and we saw just over 105, 000 pts last year with 49 beds and 13 hallway beds. Crazy busy!!

Harborview?

Actually nope! Sent you a PM.

I'm in FL...have 85 beds and saw 142,000 pts last year.

Ohhh....I LOVE the idea of the "pod" set up...it's like having a handful of mini-ed's in one large ED...very nice idea indeed!

Does each resource nurse report to the charge nurse on a given shift? Are those positions perm. or ad-hoc? Do you have a fast-track? How big is triage?

I wonder what the record is for highest bed-to-patient load ratio is.

We're only a 12-bed main ER, 10-bed fast track yet we see 60,000+ annually. Granted, we don't handle trauma so our acuity is lower, but still...

(We're moving to a 40+ bed ER next year).

they can all be busy